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Lisa Ippolito, FNP
Family Nurse Practitioner in Modesto, California
NPI 1922523034

Lisa Ippolito is a Family Nurse Practitioner based in Modesto, CA and is specialized in Family. Lisa Ippolito practices in Modesto, CA and has the professional credentials of FNP. The NPI Number for Lisa Ippolito is 1922523034 and holds a License No. 95006906 (California).

The current practice location address for Lisa Ippolito is 1441 Florida Ave, Modesto, CA and can be reached out via phone at 209-578-1211.

Location: 1441 Florida Ave, Modesto, CA, 95350-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922523034
Provider Name
Lisa Ippolito
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1441 Florida Ave, Modesto, CA, 95350-4404
Phone Number
209-578-1211
Fax Number
Provider Enumeration Date
08/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4404
Phone Number
209-578-1211
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Florida Ave
City
Modesto
State
California
Zip
95350-4404
Phone Number
209-578-1211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95006906 (California)
Definition
Definition to come...
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